Evidence map›Paper›PMID 41267991›Full record

SynthesisFrontiers in oncology2025

Combined imaging and serum biomarkers in CEUS-guided microwave ablation for hepatocellular carcinoma: A meta-analysis.

Xiaoli Zou, Danyi Zhao, Yu Shang, Yu Song, Yimei Deng, Lin Lu

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xiaoli ZouDepartment of Ultrasound, Dalian Municipal Friendship Hospital, Dalian, China.
Danyi ZhaoDepartment of Oncology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Yu ShangDepartment of Oncology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Yu SongDepartment of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Yimei DengDepartment of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Lin LuDepartment of Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the efficacy of a treatment strategy that actively integrates imaging features and serum biomarkers into contrast-enhanced ultrasound (CEUS)-guided microwave ablation (MWA) for hepatocellular carcinoma (HCC). Methods: A comprehensive literature search was conducted, and randomized controlled trials (RCTs) meeting the inclusion criteria were selected. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias Tool, and RevMan 5.3 software was employed for meta-analysis. The primary endpoints included complete tumor ablation rate, local recurrence rate (LRR), local progression rate (LPR), recurrence-free survival (RFS), and complication rate. Results: A total of seven RCTs involving 1,039 HCC patients (407 in the treatment group, 632 in the control group) were included. Meta-analysis demonstrated the following: The complete ablation rate was significantly higher in the treatment group than in the control group (risk ratio [RR] = 1.06; 95% confidence interval [CI] = [1.01, 1.10]; Conclusion: CEUS-guided MWA combined with imaging features and serum biomarkers is associated with significant improvements in complete tumor ablation rates and a reduction in local recurrence. This strategy provides evidence-based support for optimizing precision local control in HCC, but its impact on long-term survival requires validation through future studies with extended follow-up.

Indexed as

contrast-enhanced ultrasound (CEUS)hepatocellular carcinoma (HCC)imaging featuresmeta-analysismicrowave ablation (MWA)serum biomarkers

Identifiers

PMID41267991
PMCPMC12626812

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.